Anaesthesia
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Randomized Controlled Trial Comparative Study
Fetal effects of combined spinal-epidural vs epidural labour analgesia: a prospective, randomised double-blind study.
Fetal heart rate abnormalities occur commonly (17%) after establishing epidural or CSE labour analgesia, although without observed neonatal effects.
pearl -
B-Type natriuretic peptides and troponin measurements have potential in predicting risk in patients undergoing non-cardiac surgery. Using the American Heart Association framework for the evaluation of novel biomarkers, we review the current evidence supporting the peri-operative use of these two biomarkers. ⋯ However, only pre- and postoperative natriuretic peptide measurement and postoperative troponin measurement have shown clinical utility. It is now important for trials to be conducted to determine whether integrating pre- and postoperative natriuretic peptide and postoperative troponin measurement into clinical practice is able to improve clinical outcomes in patients undergoing non-cardiac surgery.